9538 HOLLY DR 2025-07-10 - Laserfiche WebLink

E V E R E T T PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 9538 HOLLY DR Permit#: B2310-113 DESCRIPTION OF WORK: NEW SFR SPLIT LEVEL PW Reviewer to select all that apply below: Utility Permits (Note:Permit Technicians to Create Utility Permit for Sewer, Water,Fire,and Irrigation,as selected below) SANITARY SEWER: DOMESTIC WATER SERVICE:(Attach Calculation&Cost Est.) ❑ New Connection to main plus connections to building ❑ New Connection,Size - ❑ Per Cost Estimate ❑ Alteration ® Meter Only,Size lin -❑ Per Cost Estimate ❑ Repair ® Water System Development Fee Total:$7,644.00 ❑ Cap-off,quantity ❑ Sewer System Development Fee Total:$ ❑ Reconnection to stub ® Water Service Line(behind meter),Size tin ❑ Backwater Valve ❑ Backflow Prevention(Outside Building):❑ RPBA ❑DCVA ® NOT REQUIRED ❑ NOT REQUIRED v 21126— 0 0 Explanation/Utility Permit# MWWD Explanation/Utility Permit# SEWER IS MWWD NO SDF IRRIGATION SERVICE:(Not Including Cost Estimates) FIRE SERVICE:(Attach Cost Estimate/Request for Reference) ❑ New Connection,Size ❑ New Connection,Size -❑ Per Cost Estimate ❑ Meter Only,Size ❑ %"Detect Meter Only,Service Size ❑ Water System Development Fee Total:$ ❑ Backflow Prevention(Outside Building):❑DCDA ❑ Backflow Prevention(Outside Building):❑ DCVA ® NOT REQUIRED ® NOT REQUIRED Explanation/Utility Permit# Explanation/Utility Permit# WATER DEPARTMENT COST ESTIMATE NEEDED-(If yes,PW Reviewer to send cost estimate request to Water Department) ❑ Yes,Quantity ,See attached for reference. ® NOT REQUIRED Plumbing Permits(Note:Permit Technicians to add all items selected below to Plumbing Permit for items inside building only) Backflow Prevention(Inside Building): ❑ DCVA(for Domestic service) ❑ RPBA(for Domestic service) ❑DCDA(for Fire service) ® NOT REQUIRED Building Permits(Note:Permit Technicians to add all items selected below to associated Building Permit) STORM WATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: : ® YES,®See Attached for calculations/credit ® YES,Traffic Mitigation Total:$5,592.00 To be added on PW2404-055 To be added on ❑See Attached for calculations/credit Quantity charged 2309SF Quantity charged SF ❑ NOT REQUIRED QTY is❑Ground only®all surfaces QTY is❑ Roof only❑all surfaces $747.00 $0.00 ❑ NOT REQUIRED Additional Checklists: ADDRESS LETTER REQUIRED? (If yes(new assigned address),print out Address Letter from TRAKiT Print Menu and include) • YES—TYPE:®SFR ❑ DUPLEX ❑ADU ❑INFILL DWELLING ❑ MULTI-FAMILY ❑COMMERCIAL ®See Attached Letter,2 copies(Permit Techs to issue one copy to applicant with permits,scan one copy to PWClerical@everettwa.gov) ®Digital copy attached to permit record,Permit# B2310-113 ®Saved to Address Folder in Development Tech File ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑ YES—Type ® NOT REQUIRED Reason: PUBLIC WORKS PERMIT REQUIRED? ® YES,Permit#PW 2404-055 ®Stormwater NPDES Tab Completed in TRAKiT ®ADA Tab Completed in TRAKiT ® Inspections Added in TRAKiT ❑ NOT REQUIRED Worksheet Completed By:,44 /der, e Date: 04-26-2024 Worksheet Reviewed By: / Rd l��L Date:04-26-2024